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General NPI Number Information
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NPI Number | 1407904121
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Entity Type | Organization
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Legal Business Name | ABSOLUTE OXYGEN & MEDICAL, INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 140 N SPORTSMANS PT STE D
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City | INVERNESS
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State | FL
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Zip | 34453-4496
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Country | US
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Telephone | 352-560-0258
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Fax | 352-860-1818
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Provider Business Mailing Address
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Address Line | 140 N SPORTSMANS PT STE D
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City | INVERNESS
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State | FL
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Zip | 34453-4496
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Country | US
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Telephone | 352-560-0258
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Fax | 352-860-1818
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Authorized Official
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Title or Position | PRES. OWNER
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Name | MR. WAYNE PAQUETTE
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Credential |
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Telephone | 352-560-0258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 2394
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License Number State | FL
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